HomeMy WebLinkAboutAppeal to ZBA of Planning Board Decision 2022-02 or 2023-02001SroNp a Rpto
ATTORNEYS AT LAW
A PROFESSIONAT. A.SSOCIA'I]ON T
SO[,"TH YARMOL'TH PROFESSIONAL BUILDTNG
I292 ROUTE 2A SOU"TH YARMOUTH, MA 026,64-445.2
TEL (soa) 394-564a FAX (soa) 398-1699
Da.vro S. RErD, ESQ.
DSReid@verizon.net
Mary Maslowski
Yarmouth Town Clerk
1 146 Route 28
South Yarmouth MA 02664
Mrcr raar- F. S-roNE, EsQ.
MFstoneEsq@comcast.net
Februarv r r-2023
YARITOUTH TO}I}I CLERK
'23FEB15Pr{12:44 RECRE: Planning BoNd# 2022-2
Dear Madam Clerk,
Enclosed please find our Application to the Board ofAppeals to appeal from the
administrative decision of the Planning Board, in its matter # 2022-2, Approval of R.O.A.D. Plan
for Ekaterina & Family LLC, et al. for property at 1272,1276 afi 1282 Route 28, South
Yarmouth. This appeal is filed pursuant to General Laws c. 40A section 8 and 15, which requires
that I file the notice of appeal with your office. I enclose the ZBA Form for the appeal along with
a copy ofthe Planning Board Decision. I am also simultaneously forwarding copies of this letter
and contents to the Board ofAppeals and to the Planning Board.
v
encl (2)
cc: Yarmouth ZBA
Yarmouth Planning Board
Paul R. Tardif, Esq.
' Each Anomey in this ollic€ is an indepcnd€nt prrctitioner
who is nol responsible for the practice or liabilities of any
other attorney in the ofiic€. Rule 7.5 (d)
YARI.IBiJTH TtlI{N CLER(
,23FEB15pri12:4E REC
ZONING BOARD OF APPEALS HEARING APPLICATION (Appeat Informarion)
Appeal#:Hearing Date:Fee S:
Applicant is the (check on€): owner_ Tenant Prospecfive Buyer_ other Interested party x
Applicant (full names, including d/b/a):Nancy C. Reyburn
27 & 2a Bryar Irane, Sout.h Yarmouth MAAddress:
P O Box 715, Foresidale lrA 02544
Phone. s080s39-9678 Email: reyburnl@me.com
This application rehtes to the property located at:
L272t 7276 and 1282 Route 28, S. yarmouth MA 02664
Shown on the. Map #. Parcel
Assessor's Map as:
60
g. 1"30, 131, 1 l 2
Zoning District: B-2
Property located on un-constructed (paper) street? Provide nearest cross streea name or other identifying location:
Project Summary (this information is used for the
(e.g., add a l0' by l5' deck to the front ofour house)
Legal Notice in the newspaper): Applicant seeks permission to
. The applicant appeals from Ehe decision of the
Yarmouth Planrling Board a roving the P roperty owners R. O. A. D.application to re-developeita subjecE properEies, Decision *2022-2, daled February L, 2023.
RELIEF REQUESTED: TheReverse the Decision o
applicant seeks the following relief from the Zonins Board of Apoeals:f rhe planning Board: *2022-2, and det"ermine ttrlt ttre propert vowners not receive d the approval o f the Planning Boar d, as Desi 9n Review AuthoriEy,for R.O.A.D . approval , bylar^, secti on 411.6
X REVERSE nclude a copy ofthis
decision with this application
Ttrd
). What is the decision date?:Planning Board, as Design Review authorlt ,2/1,/23
a per cThe app icant did no t rece va ma or1 ty vote o Ene t,oa all Eavor ot Ene aplrloval
_SPECIAL PERMIT under Yarmouth Zo
and/or for a use authorized upon Special Permit in the "Use Regulation Schedule" g202.5:
ning By-law Section:
_VARIANCE from the Ysrmouth Zoning B
and, as to each section, specify the reliefsought:
all sections ofthe by-law from which reliefis requested,y-law, Specify
Section & Relief sought
Section & Relief sought:
Section & Relief sought:
A.DDITIoNAL INFoRMATToN (which you feel should be incruded in vour aoorication):At the concfusion of its nLarin6, ah;.e -;;;;-;;it*e ;;,il:;.J""i'tiJ goara who were e legib 1eto vote,and the ir voEes were 3 in favor a nd 3 oppose d. Section 411 . 5 reguires that theapplicabion musl receive af firmative vot.eiif a maj ori ty of Ehe Board nembers to beconsidered approved. Therefore the 3 to 3 vote is a tie, not. an approval
YARI'IOUTI{ TDI'IN CLERK
'23FEB15eu12:46 REC
ZONING BOARD OF APPEALS HEARING APPLICATION (Property Information)
Name & Address ofCurrent Property Own€r (ifother than applicant) as listed on the Deed:
Ekaterj.na & Family LLC,and Jay Imad, Trustee of the Cedars of Lebanon Trust
381 Camp SEreet, We6E Yarmouth l4A
Title Deed Reference (provide a copy of most recent Deed):
Book & Page #.20629/48, 347ss/26, 2L043 / L1
or Certificate #:
Land Court Lot #:
Plan #:
o Existing:A1 ( 6in91e family - multj.ple), H2 - reEail, H8 - gas sEation
Proposed:
A3 ( multifamily), H2 - retail, H10 (restauranE), Hg ( gas sEation)
Is the property vacant?: Yes_ No x Ifyes, how long has property be€n vacant?_
t,ot Informationo Size/Area: 49'833 sq ft
Plan Book & Page
arn, < {
: rt1 / 1,43
Lot #:
Is this property within the Aquifer Protection Overlay District (APD)? Yes No x
Have you completed a formal commercial site plan review (if needed)? Yes_ No_1
Which other Boards and/or Town Departments are/have/will review this project? What is the status of review?
Is this I repetitive petition (re-applicationx Yes_ No x
If required, do you have Ptanning Board Approval? Yes_ No_
Has this property been the subject ofprior relieffrom the Zoning Board ofAppeals? yes_1 No_
Ifyes, provide the date(s), Appeal number(s), decision(s), and other pertinent information with this application.
#4823 - Used car sales, #353? - Canopy, #500? - pending
Building Commissioner Comments:
Applicant / Attorney / Agent Sign ature:D.rid S. Reid, Esq.
Property Owner Signature:
Address: c/o 1292 Route 28, S. yarmouth Ma 026G4
so8-394-5646
Phone:
Building Commissioner Signature:
Email:
dareid@verizon. net
Date:
Use Classification:
RE: Nancy Reybum ;1::-['#J#XfHr
Appeal from the decision of the Planning Board - # 2022'2 4L'r '-rr
ROAD Plan approval - 1272, 1276 & 1282 Route 28, S. Yarmouth MA
The owners of the above referenced properties on Route 28, South Yarmouth,
made application to the Planning Board for approval oftheir plans to re-develop
the property, pursuant to the ROAD Bylaw, section 4l l. This bylaw provides an
altemate process for such site development, whereby the applicant voluntarily
submits to Design Review before the Planning Board as a predicate to submission
to the Zoning Board of Appeal for special permit relief. The bylaw requires, inter
alia, that in order to be eligible to apply to the Board of Appeals, the project must
first be approved "by a majority of the Planning Board membership." ( section
4l 1.6). On January 18,2023, the Planning Board held a hearing on the owners'
application, and after hearing a Motion was made to grant the approval. Of the
Board members sitting on the matter, Joanne Crowley, Brad Goodwin, Ken Smith
and Chris Vincent voted in favor, while Susan Brita, Jim Saben and Will
Rubenstein voted against the motion. It was therefore declared that the motion had
passed by a majority vote and the plan was approved, authorizing the applicant to
proceed to apply to the ZBA for further relief under the ROAD Bylaw.
However, it has since come to the appellant's attention that Mr. Brad Goodwin was
not eligible to vote on the matter. As a result, the vote was only 3 to 3, and failed to
get the required minimum "majority" to be approved.
It is the appellant's contention that Mr. Brad Goodwin was not then eligible to vote
on the matter because he was no longer a resident of the Town of Yarmouth. We
will present evidence to the board to prove that Mr. Goodwin is a resident of the
Town of Sandwich, and has been for several years. His principal residence is at 24
Luscombe Lane, Sandwich, where he has, since 2005, registered a Declaration of
Homestead at that address, proclaiming it to be his principal residence, and has
renewed that Declaration under oath as recently as November 12,2021. To the
best of our knowledge, Mr. Goodwin does not own any other property or residence
in the Town of Yarmouth.
The "Town of Yarmouth Boards, Committees and Commissions Handbook" states
under "Qualifications for appointment", "A1l Yarmouth residents registered to vote
in Yarmouth are qualified to apply for membership on any committee."
Massachusetts General Laws c. 4l sections 8lA and 11, setting forth the
procedures for appointment of Planning Board a members, states that an appointee
Yf, RI'I[UTI.{ TI}I,IN CLEI?K
'23FEB15PH12:46 EEC
"shall be a registered voter ofthe town". General Laws chapter 5 1 sections I
specifu that one may register to vote "who is a resident in the city or town where
he claims the right to vote" . General Laws chapter 4l section 109 states that when
a general law or bylaw requires one holding a municipal office to be a resident of
the town, "if an elected or appointed town or district officer removes from the town
or district in which he holds his office, he shall be deemed to have vacated his
office." ( In this context, the phrase "removes from the town" means moves his
residence out of town with the intention to remain in the other location. See:
Inhabitants of Barre v. Inhabitants of Greenwich, 10 Mass 129, (1822))
With due respect for Mr. Goodwin and his many years of service to the Town of
Yarmouth, once he moved his residence from Yarmouth to Sandwich, he ceased to
be a lawful resident and registered voter in Yarmouth and ceased to be eligible for
and a lawful member of the Planning Board. Having voluntarily "vacated his
office", he was no longer a Member of the Board and not eligible to cast a vote in
favor of this project on January 18, 2023.
Therefore the vote was, in effect, 3 to 3, and failed to secure a.,majority,' of the
Members of the Board. The Decision of the Planning Board should have recited
that the motion FAILED.
TOWN OF YARMOUTH
I I46 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664.24451
Telephone (508) 398-2211 Exr.1276, Fax (508) 398-2365
FORM R-I
PLANNING BOARD
TOWN OF YARMOUTH, MASSACHUSETTS
Planning
Board
VARI'l0UTll I0llN CLERK
.23FEBlPM:O1REC
YHRiIOUTH TilI4N CLERK
'23FE8lspii1l:46 RECCERTIFICATE OF APPROVAL OF A R.O.A.D. PLAN
February 1, 2023
Town Clerk
Town of Yarmouth, Massachusetts
RE: Planning Board R.O.A.D. Reference No.2022-2
A!p!!E!1!: Ekaterlna & Famlly LLC and Jay Imad, Truatee of the Gedap of
Lebanon Trust, 381 Camp Street, Wect Yarmouth, MA
Propertv Location: 1272, '1276 and 1282 Route 28, South Yarmouth, MA
Assessor Map 60, Parcols'130, 131 & 132
It is hereby certified by the Planning Board of the Town of Yarmouth, Massachusetts, that at a
duly called and properly posted and advertised Public Hearing of said planning Board, held on
January 18, 2023, itwas voted (4-3) to approve ROAD Apptication #2022-2 submitted ficr 1272,
1276 & 1282 Route 28, South Yarmouth with Brad Goodwin, Chris Vincent, Ken Smith and
Joanne crowley voting in favor, and Susan Brita, Jim saben and wll Rubenstein voting against,
with the following conditions:
1. lnclude more variety in tree species with fewer red maples.
2. Reduce footcandles under the gas pump canopy to industry standards of no more than 30
footcandles and reduce footcandles to 0.0s footcandles at the property line abutting
residentially zoned properties.
3. No fencing, vegetation removal, grading or ground disturbance shall occur within the
triangular area along the eastern property boundary wher6 there appears to be conflicting
property boundary records.
4. lnstall a six (6) bot fence within the buffer area along he eastem property boundary to
within 20' of the Route 28 layout.
5. lnstall an eight (8) foot acouslic fence along the entirety of the northem property line
abutting the residential zoning district.
The plans and the application for the requested action were filed with your office on September 29,
2.o22,wilh a fourteen (14){ay extension filed with your office on october4, 2022, and a sixty (60)
day extension filed with your office on October 24, 2022.
Form R-r, Ret 2022-2
Page 2 ol 3
YARiIOUTH Tt}I4II CLERK
23FEB1PH4:Ol REc
PLANS AND INFORMATION SUBMITTEO AND MADE PART OF THIS APPROVAL:
The development plans consist of the following:
1. Existino Conditions Plan: Prepared by Borderland Engineering, lnc, dated 1217D1.
2. Site Plans: All site plans prepared by Choubah Engineering Group, issue date 9126122].. Cover Sheet. Demolition and Erosion & Sediment Control Plan. Erosion control Details & Notes ?FrEt4{JLlTt-l Tfll{tt *|-EEH. Site Layout & Fuel Truck Access Plan rZEFFElEFiiLt:4fi RLt. Grading & Drainage Plan. Utility Plan. Sewage System - Profile & Sections. Landscape Layout & Fire Apparatus Access Plan
' Lighting Plan. Site Details #1. Site Debils #2. Site Details #3. Underground Fuel Storage Tanks Details
3. Architectural Plans: All architectural plans prepared by Choubah Engineering Group, issue
daEgn6lz2:. Proposed 1st Floor Layout. Proposed 2nd Floor Layout. Proposed Front & Left Side Building Elevations. Proposed Rear & Right Side Building Elevations. Canopy Elevations & Details. Architectural Renderings #1. Architectural Renderings #2
PROJECT DESGRIPTION:
The site consists of three parcels totaling 1.14 acres which currently contain five cottages, a
convenience store and two gas pumps with canopy. The applicant proposes to demolish all
existing buildings on the three adjoining properties and construct a new gasoline filling station with
four dispensers, overhead canopy, a two-story mixed-use building with a 4,000 square foot (s0
foolprint, and associated site improvements including parking, traffic circulation, pedestrian
walkways, site lighting, various utilities and landscaping. The mixed-use building is proposed to
include a convenience store, cofiee shop area, and drive-thru on the first floor; and four (4)
residential apartments on the second floor.
ZONING RELIEF:
The project will require the following zoning relief from the Zoning Board of Appeals:
1 . Building front setback, section 203.5
2. Parking behind hont setback, section 301.4.1
3. ln lot trees, section 301.4.6 (1 short)
4, Drive through buffer distance to residential zone of 'l 00', section 301 .8.
5. Front landscape buffer width, section 301 .4.4.
6. A12, multifamily use, table 202.5 (with no more than 50% of total building floor area being
used for residential)
7. H6, gas station use, table 202.5.
8. Signs on front and right-side elevations, section 303.5.5
Form R-1, Ret.2o22-2 VARI'I0UTHT0IIHCLERK
Page 3 of 3
'23FEB1px4;01REG
Upon further discussion with the Applicant, relief from section 301 .4.3 for a curb cut in excess of
24 feet wide does nol appear needed. yARltilUTH lili{rfi CLERK
FlNDlNcsi '23FEE15Ptti2:45 REC
The Planning Board finds that the p@ect meets the following general criteria for approval of a
R.O.A.D. District Development Plan as outlined an Sec'tion 4'l 1.5 of the Zoning Bylaw as follonrrs:
't. resulls in economic benefib to the Town and is recommended by the Community &
Economic Development Committee.
2. the building will be mixed-use, making use of a second story for housing (top of shop).
3. the Design Review Committee and the Planning Board have both determined that the
project substantially adheres to the applicable sections of the Yarmouth Architectural and
Site Design Standards.
4. improves the aesthetics of the buildings using cape cod style architecture, traditional
looking building materials and muted colors.
5. promotes an attractive and viable commercial district.
6. improves the buffering along the public way with wider buffers with additional landscaping
and fewer curb culs.
7. the site provides adequate internal circulation/egress and pedestrian access.
8. the benefits of the project outweigh the detriments resulting from the requested relief being
through a Special Permit.
A true copy, attest:
nne Crowley, Chairman
Yarmoulh Planning Board
Duplicate copy sent to applicant
Duplicale entered into project file
Duplicate sent to Board of Appeals
NOTE TO THE APPLICANT: Approvat by the Planning Board does not grant zoning reliel
Application must be made lo the Board of Appeals.
NorE To PLANNING BoARD: Approval by the ptanning Board must be noted on the plan to the
Board of Appeals as an endorsement, per Zoning Bylaw section 41 1.6.
NorE To rHE BoARD oF APPEALS: Ptanning Board approval is a recommendation to the
Board of Appeals that the above referenced zoning relief be granted in the form of a special
Permit, as outlined in Zoning Bylaw section 41 1 .3.2.
Mandatory criteria of Board of Appeals approval are ouflined in Bylaw section 411.5, paragraph 2.
?AR|,rI}UTH Toutl CLERK
'23FEB15Pi,{12;45 EEC
Town of Yarmouth Boards, Committees,
and Commissions Handbook
;EEEE'#J|}}3f#
Board of Selectmen
Yarmouth, Massachusetts
Thank you for volunteering for the Town of Yarmouth.
Voluntary service as an appointed member of a board, committee, commission, or council,
is the driving force behind local government. The volunteer members who serve on these
boards and committees are an essential part ofrunning an effective and efficient local
government.
The purpose of this handbook is to assist the many boards, commissions, and committees
ofthe Town. The handbook provides a general description ofprocedures and summaries of
important state statutes that govern the conduct of committees and their members such as
the 0pen Meeting Law and Conflict of Interests Law. Official full-text versions ofthese and
other governing bylaws may bEaTcEss-e-d thr-ou3h fiel-rn-k-s-onthe-Town of Yarmouth
website and enclosed within this document. The Town website also offers links to
important documents such as the Town Charter, Town Bylaws, plus the minutes and video
recording (where applicable) of past committee meetings.
Approved by the Yarmouth Board of Selectmen [DATE]
Michael Stone, Chair
Mark Forest, Vice-Chair
Trary Post
Erik Tolley
Norm Holcomb
The Board of Selectmen is deeply grateful to all who are willing to serve as a volunteer
member ofthe government ofthe Town ofYarmouth.
Table of Contents
Becoming a Committee Member
. Qualilications for Appointment
' APqlication
. APqointments. Oath of officeo Term ofoffice
. Reappointments
o Vacancies/Resignations/Lackof
Attendance/Removal
. Restrictions on Members of Boards
and Committees
. Evoluation of Candidates
Types of Boards, Committees, and
Commissions
. Stotutoty Boards and Committees
. Advisory Committee
Organization ofBoards - Duties of
Officers
c Election of Officers. Duties of Officers
Meetings
. Attendance
o Open Meeting Law
. What is a Meeting?
. Types of Meetings: Public Meeting
and Public Heoring
o Location and Posting ofMeetings
o Voting
' Agendas
. Meeting Minutes
o Public Records
YARtilLtTt{ T0!ll'i C!-ERK
'2EFEE15pu12:45 REC
Code of Conduct for Members
o Conduct Generally and in Relation
to the Communiy
. Conduct in Relation to Your Fellow
Committee Members
. Conduct in Relation to the Town
Manager
. Conduct in Relation to Town StaJF
o Compliance and Enforcement
Reminders
. Speoking for a Board or Committee
c Civil Discourse
Use of Town Facilities, Staff,
Equipment
o Scheduling Rooms
. Regular Meeting Room Hours
. General Meeting Room Rules
. Use of Equipment
Town Counsel
c Use of Town Counsel
Additional Information
Appendix 1
c Ethics / Conflict of Interest
Appendix 2
o Evaluotion Sheet
Appendix 3
o Recommendation Form
Appendix 4
. Committee List
Becoming a Committee Member
Qu a lifi c ati o ns fo r a p p o i ntm e nt
Committee membership requirements are subiect to the Board of Selectmen. All
Yarmouth residents registered to vote in Yarmouth are qualified to apply for
membership on any committee.
Application
Appointments
YARHOUTH TI]IllN CLEI1K
r2gpg615py12:45 REt
The appointment application process begins with entry ofyour name and contact
information into the Town of Yarmouth's Talent Bank, maintained by the Town
Administrator's Office. A Talent Bank form must be completed and submitted in
order to be considered for membership on an appointed board or committee.
An interactive Talent Bank application form is accessible from the Town's
committee webpage: http://www.yarmouth.ma.us/FormCenter/Talent-Bank-2-
2/lnterested-in-ioining-a-Committee-Commis-3 3-33. This links allows you to easily
complete and submit your Talent Bank application online. Printed Talent Bank
forms may also be obtained, completed and returned to the Selectmen/Town
Administrator's office at 1146 Route 28 in Yarmouth.
You may register in the Talent Bank at any time, even when no vacancy exists on
your desired committee. Should such a vacancy occur, you and all other Talent Bank
applicants who declared a similar committee preference will be contacted and
invited to schedule an interview with the Board of Selectmen.
The Talent Bank shall be kept by the Town Administrator's Office and as time
permits, reviewed every three years by:
- contacting applicant to see ifapplicant is still interested in serving the Town.
- updating talent banks ofapplicants who wish to remain in active file.
- discarding talent banks of applicants who are no longer interested in serving the
Town.
Most appointments to town boards Icollectively refers to boards, committees and
commissions) are made by the Board of Selectmen. Some appointments are made by
the Moderator. The appointing authority shall have sole discretion to make such
appointments as the appointing authority deems to be in the best interest ofthe
Town. It is also suggested that applicants attend one or two meetings ofthe board
on which they are interested in serving to become familiar with the time
commitment and other functions of that Board.
Doct9r8r555 Or3-11-2OOU 1Ot t4BARHATEBLE LAND COURT RECTSTRY
N o r DEcrrARAlroN or Eqf$q'^D
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-----o EE r c r A L o F E r c r A L'2359615pxf:45istxrcole er.,rr C,q{ }Bk rEEsE pnssaua &\rh r, inin oooorsrn o! 24Irureodb. IJ!.Da, g.adrr.dh, DIl, 02553; aE Ehe owner of realestate thW$)t and havlng a tam$lo apd being entir,IGd roan eatat€ qF ilIomeatead tn the larSf rqnd builatngeherefutt'fpq {"Sp5ls:a ao hq5ig11 di€rfq t#.r r ox,tr and anpossesse+ gr$ qpcupy aatd prernJ6gr pe7 a- reaidence and
homestead under MaEaachuBettE aenlrlf lJawa, Chapt€r 188,Secllon 1, as anended, to wit,:
24 Luscombe IJane, Sandwlch, MA 02563 (Lot
Subdlvlelon plan 35991-8 (Sheet 2)
L44,
lor tlgl., 8.. Clrtifloeta o! tl.tI. No. 1Z1OS3.
Propcrey .trd&c.r t 24 tJurooab. t i.E., Br8drrr,ch, [t 02E63
I am under che age of 62.
wITI\lEgt 4flour Eud. lnd g.rb thlt
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On thie
underalgned notary publlc, pereonally appeared BRID
cooDwrN, ptoved to ne through aatlafact
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iden ti flca ion, whTch were (
to
aign€d on t,he preceding or
acknowledged Eo me thatlte staEed puryose. i
Notary
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Jlcqulc\f o!!r!\declhrrc IE, 3{
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ory ev!-dence of
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volunEarlly for
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Vf; *l,lUUTH T[Utl CLERI(
r2gpgg|gps!!:45 REC
DECLARATION OT IIOMESTEAD
M.G,L, c. 188 $ 3 (For IIom6 Owned by Trusteo(s))
I, BRAD ,4. GOODWIN, and MARYBETH K, COODRICI.I. Trustecs of GOODWIN.
GOODRICH FAMILY TRUST u/d/t dated Octob er 2l , 2V27 hercby declan homcstcsd pusuant
to M,G. L. c. 188 $ 3, for the bcncfit of the beneficiarics hercinafter namcd wittr rcspect to tho
hercindesoibed premises atrd ststc as follou,s:
l. Said Declaration of Trust is
(a) [ ] recorded in Regisry ofDceds in Book . Page _
(b) [E filed in thc Bamstable Registry Distict of the Land Court as Documcnt No.
(c) ffi describcd in a Trustee's Certificate under M.G,L, o. 184, $35:
[X] recaded in the Damstable Countv Land Court herewith.
[ ] filed in said District ss Document No,
-. -
(d) [ J Other [describc dcrivation]
2. We are the owners as Trustee of the premises ar 24 Luscombe Lano. Sandwich.
Massachusetts by virtuc of:
(a) [X] deed from BB4p OOODWIN and MARYBETH K. GOODRICI'I. dated Ogtobcr
21,2A\ and recordcd in the said Registry of Deeds hercwith.
(b) [] Cctificate of Title No, Document No. in said District
(c) [ J the Will of-.-*. .
-
Probale Casc No.
(d) [ ] Other [describe documcnt and provide appropilate rccotdiDg/rcgistatiot/court
docket inforrration]:
Praparcd by and Ittum to: N o T
Culhht & Dobr, P.c. A N
Tottcn Pond Road oftrc. Eark ^ ,#;H#"";";iiY":ffi,ffi[odr I A L
wrrrh;, MA 024s1 c o P Y
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which premises llBJ\D d!.tEXrDlu.!N, and
AN
the trust, occupy g" iptepd p gcqrp1 altheir princpalrqi N
IIRICH, as beneficiaries of
ALI
3. BeneficiaryBR.CDOqX;UOBYft,andMARYET&IIK.X]OODRICHarel
(a) [] unmanied * o , N o T
(b) [Xl married to&aoh olher A N
rc)flmarfidtd r c r AL whois9c6-tEn&i&rtr&ilfut rtrnd'i-6T-- coPt(i) [ ] who also occupics or intends to occupy lhe premises as her principal
residence and who has the benefit of a declaration of homestead.under M.G.L. c.
188, $ 2 rccorded/filed with said Regisry of Deeds/Disrrict:
(a) [ ] in Book _, Pagc _/as Document No._
(b) [] haewith
(ii) [J who does not occupy or intend to occupy lhe premises as his/her principal
residencc
(d) 0 manicd to -. who is not a co-beneficiary of the trust and:
(i) [] who also occupics or intends to occupy the premises as her principal rtsidmce.
(ii) [] who does not occupy or intend to occupy the prcmises as his/trer principal
residence.
(iii) [] who also occupies or intends to occupy thc premises as his principal residencc
and who has the bencfit of a declaration of homestead under M.G.L. c. 188, $ 2
rccorded/filed with said Registry of Decds/District:
(c) [ ] in Book , Page _/as Document No. _(d) [] herewith
ISTGNATURE PAGE TO TOLLOWI
2
NOT
Signed under the penalties&f$erjury this
OET'ICIAI.,
COPY
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COMMONWEALTH OF MASSACHUSETTS
ss
On this 2r dty of oc{.b tr , 2021, before me, the undersigned notary publig
personally appeared DWIN Tlustee, proved to me through satisfactory evidence
of identification, which were CV sr'l r".^sa , to be the person who signed
the prcceding or atteched document in my presence, and who swore or affirmed to me that the
contents ofthe document are truthful and accurate to the bcst ofhis knowledge and belic{, and he
signed it voluntarily for its slated purposes on behalf of the GOODWIN-GOODRICH
FAMILY TRUST.
(official signature and seal o notary
My commission expircs:
TOOD E, LUTSKY
lrot.., Prdrac
Commnvilt t ol UBuciurett"
My Com !!ioi geL.!
Junc 3,2022
)
COMMONWEALTTI OF MAS SACHUSETTS
(\qr"+ L I lr ,SS
On this a I day of och I <r . 2021, before me, the undersigned notary public,
personally appeared through satisfactory
to be the person who
iffi
proved to me
evidence of identification, which wcre ftv r/5
signed the preceding or attached documenl in my prcsence, and who sworc or afftrmed to mc
that the contcnls of the document are trulhfiil and accurate to the best of hcr knowledge and
beliei and she signed it voluntarily for its stated purposes on behalf of the GOODWIN-
GOODRICH FAMILY TRUST,
Tnrstee,
lL'.-,,
(oflicial signaturc and seal notary
My commission expircs:
)
3
STRIqT
R"ECf,IVED E RECORDCD EI,f,CTROII I C,II,LY
A.r..'1"[lt ,